<div class="wrapper">
    <div class="panel panel-default no-border">
        <div class="panel-heading visible-xs">
            <h4 class="text-center">填写个人资料</h4>
        </div>
        <div class="panel-body">

            <form class="m-t">
                <p class="b-b text-info font-bold">基本资料</p>
                <br />
                <div class="form-group pull-in clearfix">
                    <div class="col-sm-4">
                        <label>姓名</label>
                        <input type="text" class="form-control" placeholder="姓名" />
                    </div>
                     <div class="col-sm-4">
                        <label>身份证</label>
                        <input type="text" class="form-control" placeholder="身份证" />
                    </div>
                    <div class="col-sm-4">
                        <label>性别</label>
                        <div class="padder-v-sm">
                            <label class="radio-inline">
                                <input type="radio" name="inlineRadioOptions" value="option1"> 男
                            </label>
                            <label class="radio-inline">
                                <input type="radio" name="inlineRadioOptions" value="option2"> 女
                            </label>
                        </div>
                    </div>
                    
                </div>
                <div class="form-group pull-in clearfix">
                    <div class="col-sm-4">
                        <label>民族</label>
                        <select class="form-control" >
                            <option>---民族---</option>
                        </select>
                    </div>
                     <div class="col-sm-4">
                        <label>学籍号</label>
                        <input type="text" class="form-control" placeholder="学籍号" />
                    </div>
                    <div class="col-sm-4">
                        <label>考试语种</label>
                        <select class="form-control" >
                            <option>---考试语种---</option>
                        </select>
                    </div>
                    
                </div>

                <div class="form-group pull-in clearfix">
                    <div class="col-sm-8">
                        <label>毕业学校</label>
                        <div class="row">
                        <div class="col-xs-3">
                            <select class="form-control" >
                                <option>---市州---</option>
                            </select>
                        </div>
                        <div class="col-xs-3">
                             <select class="form-control" >
                                <option>---区县---</option>
                            </select>
                        </div>
                        <div class="col-xs-6">
                             <select class="form-control" >
                                <option>---学校---</option>
                            </select>
                        </div>
                        </div>
                    </div>
                    <div class="col-sm-4">
                        <label>班级</label>
                        <select class="form-control" >
                            <option>---班级---</option>
                        </select>
                    </div>
                </div>

                <div class="form-group pull-in clearfix">
                    <div class="col-sm-6">
                        <label>英语口语</label>
                        <select class="form-control" >
                            <option>---英语口语---</option>
                        </select>
                    </div>
                     <div class="col-sm-6">
                        <label>考生类别</label>
                        <select class="form-control" >
                            <option>---考生类别---</option>
                        </select>
                    </div>
                    
                </div>
                <div class="form-group pull-in clearfix">
                    <div class="col-sm-12">
                        <label>户口所在地</label>
                        <div class="row">
                        <div class="col-xs-4">
                            <select class="form-control" >
                                <option>---省份---</option>
                            </select>
                        </div>
                        <div class="col-xs-4">
                             <select class="form-control" >
                                <option>---市州---</option>
                            </select>
                        </div>
                        <div class="col-xs-4">
                             <select class="form-control" >
                                <option>---区县---</option>
                            </select>
                        </div>
                        </div>
                    </div>
                </div>
                <div class="form-group pull-in clearfix">
                    <div class="col-sm-6">
                        <label>现阶段班主任或负责人</label>
                        <input type="text" class="form-control" placeholder="班主任或负责人" />
                    </div>
                    <div class="col-sm-6">
                        <label>有何特长</label>
                       <input type="text" class="form-control" placeholder="特长" />
                    </div>
                </div>
                <div class="form-group">
                    <label>高中阶段以来受过的奖励或处分</label>
                    <textarea class="form-control" rows="5" placeholder=""></textarea>
                </div>
                <br />
                <p class="b-b text-info font-bold">教育经历（从高中起）
                    <a href class="pull-right">
                    <i class="glyphicon glyphicon-plus"></i>&nbsp;添加
                    </a>
                </p>
                <div class="form-group pull-in clearfix">
                    <div class="col-xs-6 col-sm-2">
                        <label>自</label>
                        <input type="text" class="form-control" placeholder="年份" />
                    </div>
                     <div class="col-xs-6 col-sm-2">
                        <label>至</label>
                        <input type="text" class="form-control" placeholder="年份" />
                    </div>
                    <div class="col-xs-12 col-sm-4">
                        <label>学校</label>
                        <input type="text" class="form-control" placeholder="学校名" />
                    </div>
                    <div class="col-xs-6 col-sm-2">
                        <label>职务</label>
                        <input type="text" class="form-control" placeholder="职务" />
                    </div>
                    <div class="col-xs-6 col-sm-2">
                        <label>证明人</label>
                        <input type="text" class="form-control" placeholder="证明人" />
                    </div>
                </div>
                
                <br />
                <p class="b-b text-info font-bold">家庭成员
                    <a href class="pull-right">
                    <i class="glyphicon glyphicon-plus"></i>&nbsp;添加
                    </a>
                </p>
                <div class="form-group pull-in clearfix">
                    <div class="col-xs-4 col-sm-2">
                        <label>关系</label>
                        <select class="form-control" >
                                <option>-关系-</option>
                            </select>
                    </div>
                     <div class="col-xs-4 col-sm-2">
                        <label>姓名</label>
                        <input type="text" class="form-control" placeholder="年份" />
                    </div>
                    <div class="col-xs-4 col-sm-2">
                        <label>政治面貌</label>
                       <select class="form-control" >
                                <option>-政治面貌-</option>
                            </select>
                    </div>
                    <div class="col-xs-12 col-sm-2">
                        <label>工作单位</label>
                        <input type="text" class="form-control" placeholder="职务" />
                    </div>
                    <div class="col-xs-6 col-sm-2">
                        <label>职务</label>
                        <input type="text" class="form-control" placeholder="证明人" />
                    </div>
                     <div class="col-xs-6 col-sm-2">
                        <label>学历</label>
                        <select class="form-control" >
                                <option>-学历-</option>
                            </select>
                    </div>
                </div>
                <br />
                <div class="form-group pull-in clearfix">
                    <div class="col-xs-6">
                        <button ng-if="opt == 'edit'" ui-sref="home.exam" type="submit" class="btn btn-lg btn-default">返回</button>
                    </div>
                    <div class="col-xs-6 text-right">
                        <button ui-sref="main.pay" type="submit" class="btn btn-lg btn-info">网上缴费</button>
                    </div>
                </div>


            </form>
        </div>
    </div>
</div>
